Insurance Resource Page

Insurance Benefits Worksheet

Will you be using insurance for mental health services at Alliance Counseling Group?

Whether you are just starting out with us or if your insurance coverage is changing, please contact your Health Insurance Provider to learn more about what your plan covers.

Coverage varies greatly, but our services may be covered in part or in full by your insurance provider.  Please familiarize yourself with your overall mental health coverage plan and copay/deductible amounts. 

Whenever you have a new plan starting, we ask that you verify what your deductible is and/or what your copay is before your next session with your provider. Most insurance cards have a phone number on the back of the card for customer service for members.  You can also log in to the insurance company’s website to view your benefits and possibly download a copy of your new card as well.

Knowing your insurance benefits can be tricky!  Use our Insurance Benefits Worksheet  to help guide you through the process! Click to download and get started!  The questions below are included on the sheet and will help you learn how to best determine what your coverage for sessions will be.

Questions for Your Insurance Company 

  • Does my insurance benefit plan include mental health services?
  • Are there any other conditions I need to be aware of concerning my mental health coverage?
  • What is my deductible amount?  How much of my deductible is remaining?
  • After the deductible is met, or if your deductible does not apply, you may still owe a copay (set rate) or coinsurance (percentage of rate).  Will I be required to pay a copay? If so, how much is my copay?
  • Can you tell me what my benefits are for both in-person office visits and telehealth visits?  Is there a difference in coverage for telehealth visits?
  • Is a pre-authorization required for services?

Our practice name for insurance purposes is Burke Group Counseling and Consulting DBA Alliance Counseling Group. That bit of information usually clears up any confusion.

 

Providing us with your new insurance information is easy!

You can update your insurance for us ANYTIME!  Using your Therapy Notes client portal account is the best way to send us your new insurance information.  Once you have your new information on hand, simply log into your client portal and locate the Documents Section.  Click on the Client Insurance Form to submit your new information and provide a copy of the new card.  For assistance with this form, you can find help here:

How To Upload Your Insurance Information

Please be sure to include the subscriber DOB if it is someone other than yourself and indicate any secondary policies if applicable.

Please keep your provider at ACG up to date with any insurance changes including the effective dates and/or newly applicable deductibles or copays that will need to be collected.

Helpful Insurance Terminology

Deductible

The amount that you pay for medical services before your insurance begins to pay.

Co-Payment / Co-Insurance

After the deductible is met, or if your deductible does not apply, you may still owe a copay (set rate) or coinsurance (percentage of rate).

HSA or FSA Card

A payment card that can be used for medical expenses (excluding missed appointment fees).  This card is not subject to credit card fees and can be stored on your client account as a convenient payment option.

To add one of these cards as a payment method for your sessions, log into your client portal account, locate the documents section and complete the Payment Authorization Form.  Inform your therapist that it is an HSA card.  You may be asked to upload a backup payment method in the event that your HSA account runs out of funds.

Effective Date

The date your policy goes into effect.  Please note that any sessions attended outside of the plan effective dates may not be covered and will be charged at the direct cash rate of your provider.

Coordination of Benefits

The coordination of benefits is necessary to determine who pays first when 2 or more health insurance plans are responsible for paying the same medical claim.

The first payer would be primary and the next payer would be secondary.